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Hypothetical Case 1 Received in Prison on Friday afternoon Noted to be quite paranoid Triaged by mental health service 3 days later Concerned about being killed Conspiracy of prisoners and officers Very anxious

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Hypothetical Case 2 Psychiatrist review after 1 week (3 weeks prior to release) Guarded / suspicious Hearing voices from a dead child and another dead relative Past history of treatment with an antipsychotic, but nil now

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OVER TO YOU! What issues have to be considered with this patient? Should any treatment be considered for her?

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Hypothetical Case 2 Threats to unborn baby which she believes to be “white” and the result of a rape by a Caucasian male Unborn baby being influenced by sources of external control Food refusal resulting in limited intake